Organization
RISER FOODS COMPANY
Active
Parent organization
GIANT EAGLE, INC
Other names
Giant Eagle Pharmacy #0230
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIANT EAGLE, INC
Authorized official
MS. DEBRA B. KRASNOW PHARMAD (DIRECTOR OF MANAGED CARE)
(412) 968-1550
Entity
Organization
Contact information
Practice address
3050 W. 117TH ST., CLEVELAND, OH 44111-1645
(412) 251-5518
(216) 671-8173
Mailing address
101 KAPPA DR, PITTSBURGH, PA 15238-2809
(412) 968-1550
(412) 967-1727
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021899900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2858215
—
OH
01
—
P00419119
MEDICARE RAILROAD FLU RISER OHIO
OH
Enumeration date
09/08/2008
Last updated
05/12/2009
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